Dental Professional
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Job Description
Location: San Antonio, TX/Falls Church, VA
Work Environment: Hybrid
Clearance Required: None
Status: Contingent Upon Contract Award
Knowesis is seeking a Licensed Doctor of Dental Surgery to join our team providing dental pre-authorization policy and compliance for our federal health plan client.
This position requires a Public Trust security clearance. Must obtain and maintain a NACI clearance and a CAC Card. Additionally, U.S. Citizenship is required (applicants without proof of U.S. Citizenship will not be considered due to the position's security clearance requirement).
The Job Duties and Responsibilities include but are not limited to the following:
- Provide training on proper methods and guidelines, review medical and dental pre-authorizations and assist in the development of denial, and approval codes used in both medical and dental preauthorization review requests
Required Qualifications:
- Must have at least two years (within the last five years) of private-sector dental plan experience.
- Must hold current state licensure.
- Prior experience as a dental care provider within a military Dental Treatment Facility.
- Ability to maintain licensure throughout the duration of the contract (5 years)
Desired Qualifications:
- Experience reviewing preauthorizations and reviewing private sector dental treatment plans.
- Familiarity with TRICARE dental policies.
- Experience Training and Communicating policy and process to other dental professionals and senior leadership.
- Experience with a commercial health plan involving dental preauthorization and treatment plans
Required Education:
- Doctorate Degree in Dental Surgery
Benefits:
- Health (PPO & HDHP)
- Company Paid STD & LTD, and Basic Life Insurance
- 401k Company Match
- Paid Time Off
- Multiple Voluntary Products
Knowesis is committed to providing equal employment opportunities to all individuals based on merit and qualifications. We prohibit discrimination in all aspects of employment as required by Title VII of the Civil Rights Act and other applicable federal laws. Our company values all applicants and employees and fosters a work environment where everyone is treated with respect and dignity.